Registered Nurse - Emergency Department - Casual/PRN - Nights

About the role

Nebraska Methodist Health System focuses on providing exceptional care to the communities they serve and the people they employ. This includes a culture called The Meaning of Care, which emphasizes helping families grow, conveying difficult diagnoses with compassion, and going above and beyond for patient needs.

Responsibilities

• Provide appropriate care specific to the age of the customer/patient, ensuring understanding and comfort level of treatment as outlined in the Population Specific Criteria.
• Demonstrate ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
• Perform an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs.
• Incorporate data from the patient/significant other(s) in the assessment as appropriate.
• Prioritize data collection according to patient's immediate needs.
• Develop/review/revise and individualize the plan of care to address the patient's nursing care needs for optimum patient care outcomes.
• Collaborate with providers and other clinical disciplines as appropriate.
• Provide teaching specific to the patient's health care problem.
• Care plan reflects continuing care needs and/or referrals for discharge/transfer.
• Implement interventions that are consistent with the established plan of care in a safe and appropriate manner.
• Use current knowledge in nursing practice based on standards and research literature.
• Screens all patients for domestic violence.
• Adequately screens and implements protocols for all patients diagnosed with sepsis.
• Evaluate patient care to determine response to care/interventions for optimal patient outcome.
• Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions.
• Continually monitors the patient and/or significant other(s) ability to manage care needs after dismissal.
• Give a complete verbal or written change of shift report to the oncoming care provider.
• Includes current care requirements, to include SBAR (situation, background, assessment and recommendation), and is familiar with the overall plan of care.
• Recognize and address patient and family capabilities and limitations (physical and mental).
• Perform technical skills competently and independently to assure patient safety.
• Able to competently perform technical skills independently.
• Follow appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
• Charge accurately for use of supplies and equipment according to policy.
• Maintain a professional behavior in attitude, demeanor, interactions to achieve organization's mission.
• Communicate effectively to solve problems at the personal and unit level.
• Take pride in the unit by actively participating in restocking and maintaining a clean environment.
• Maintain a professional appearance, behavior, and work environment.
• Maintain competence in area of experience.
• Participate in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.
• Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees.
• Complete appropriate report form for any risk (e.g., variance/incident report, patient concern report, maintenance request).
• Communicate to appropriate personnel regarding unresolved issues.
• Work within the scope of practice as defined by State Nurse Practice Act.
• Observe appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.
• Review, delegate and evaluate plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice.
• Right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome).
• Right person (assess competency by: certification/licensure, job description, skills checklist, demonstrated skill).
• Right communication (clear, concise, correct, complete).
• Right feedback: the Reciprocal Process (ask teammates' input first, recognize effort, get teammates' solution to problem, check off points).
• Fiscally accountable.
• Act professionally responsible for human and other resources.
• Charge accurately for use of supplies and equipment according to policy.
• Completes appropriate meaningful use requirements: Medication reconciliation, Selection of correct pharmacy for E-scribe, Discharge vital signs within 15 minutes of dismissal.

Requirements

• Education: Bachelors of Science in Nursing (BSN) or Master’s Degree in Nursing (MSN) from an accredited college of nursing required OR obtained within 5 years from date of hire for nurses with an Associate Degree in Nursing (ADN).
• Graduate of an accredited school of nursing required.
• Experience: If the specialty is not listed, no prior experience is required:
  • MWH Emergency Room: 3 years of nursing experience.
  • Preferred: NMH & MWH Emergency: Certified Emergency Nursing (CEN). NMH Emergency: Certified Critical Care Nurse (CCRN).
• Licenses/Certifications: Required:
  • Current valid Nebraska Registered Nurse (RN) License, valid compact multistate license, or a temporary permit while awaiting licensure.
  • Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
  • Current American Heart Association Advanced Cardiac Life Support (ACLS).
  • Trauma Nurse Core Curriculum (TNCC) required within two years.
  • Pediatric Advanced Life Support (PALS).
• Skills/Knowledge/Abilities: Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers. Ability to multi-task and prioritize work assignments. Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.

Physical Requirements

• Weight Demands: Medium Work - Exerting up to 50 pounds of force.
• Physical Activity: Occasionally Performed (1%-33%): Climbing, Crawling, Kneeling, Sitting, Frequently Performed (34%-66%): Balancing, Carrying, Crouching, Distinguishing colors, Keyboarding/typing, Lifting, Pulling/Pushing, Repetitive Motions, Stooping/bending, Twisting, Constantly Performed (67%-100%): Grasping, Hearing, Reaching, Seeing/Visual, Speaking/talking, Standing, Walking.
• Equipment/Machinery/Tools: Explosives (pressurized gas), Hazardous Drugs (exposure risks, personal protective equipment required), Mechanical moving parts/vibrations.

About Nebraska Methodist Health System

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.